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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARTHROCARE CORP. WEREWOLF RF 20000 CONTROLLER; ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES

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ARTHROCARE CORP. WEREWOLF RF 20000 CONTROLLER; ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES Back to Search Results
Catalog Number 72290105
Device Problems Device Emits Odor (1425); Device Operates Differently Than Expected (2913)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 01/31/2018
Event Type  malfunction  
Manufacturer Narrative
The device, intended for use in treatment, was returned for evaluation.There was a relationship between the returned device and the reported incident.Visual inspection of the returned controller found that the warranty seal was broken.The returned device was tested using a known good compatible wand which was found that when power was supplied the unit gave off a burnt smell and would not power up.The unit was opened and it was founds that the 48 volt diode for the power supply has one burnt lead and it was also noted that the sd card was damaged and unable to retrieve data as the card was melted.It was also noted that some type of fluid got inside the unit which cause the diode to short out.The complaint was verified and the root cause was determined to be due to electrical component failure.Factors which can lead to electrical short in the unit include: normal wear and tear, causing damage as a result of consistent use over time such as a fluid may have come into contact with the device causing the unit to short out.There were no indications to suggest the device did not meet product specifications upon release into distribution.
 
Event Description
It was reported that the unit isn't working properly and emits a burning smell.Additional information received via product evaluation 4/5/2018 indicates the device may have overheated.No patient involved.No user injury reported.
 
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Brand Name
WEREWOLF RF 20000 CONTROLLER
Type of Device
ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES
Manufacturer (Section D)
ARTHROCARE CORP.
7000 w. william cannon
austin TX 78735
Manufacturer (Section G)
ARTHROCARE CORP.
7000 w. william cannon
austin TX 78735
Manufacturer Contact
jim gonzales
7000 w. william cannon
austin, TX 78735
MDR Report Key7401957
MDR Text Key105168504
Report Number3006524618-2018-00173
Device Sequence Number1
Product Code GEI
UDI-Device Identifier00885556624890
UDI-Public00885556624890
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K162074
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,health
Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date 04/05/2018
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number72290105
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer02/14/2018
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 04/05/2018
Initial Date FDA Received04/06/2018
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? No
Type of Device Usage Reuse
Patient Sequence Number1
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